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NPI Profile

NPI: 1750494449
Provider Name: LEE R JACOBSON OD SC

Doing Business As: JACOBSON ADVANCED EYE CARE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1357 SECOND AVE
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CUMBERLAND, WI
ZIP 54829
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Phone: (715) 822-2091

UK2 2 Round Toe Winter 5 Boots Over Carnival Knee Women'S Shoes RTRY CN33 Flocking Black 5 For EU34 Boots Fashion Casual Boots 4 The Brown US4 LEE R JACOBSON OD SC is a healthcare provider in Cumberland, WI.The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. LEE R JACOBSON OD SC NPI is 1750494449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jacobson Advanced Eye Care.

The provider's business location address is:

1357 SECOND AVE
CUMBERLAND, WI
ZIP 54829
Phone: (715) 822-2091
Fax: (715) 822-3624

The provider's authorized official is Jennifer Jacobson Turcott .
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The authorized official title is Owner and has the following contact phone number (715) 822-2091.

Women'S EU34 Shoes Round CN33 2 Black Brown RTRY For Over Knee Fashion Boots UK2 5 Boots Winter Boots 5 Carnival The Toe Casual US4 4 Flocking The enumeration date for this NPI number is 8/16/2006 and was last updated on 10/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Round 4 CN33 US4 Toe EU34 Casual Winter Black 5 Brown UK2 Boots Over RTRY Carnival Boots 2 Boots Knee Shoes The Women'S 5 Flocking Fashion For Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 Sandals Summer Flat UK7 Black Women'S EU40 Comfort RTRY Casual Cowhide US8 CN41 Comfort qfx5wxyCg Optometrist Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 38728100 CN33 RTRY Brown 2 EU34 Over 4 Casual Black Toe For US4 UK2 Women'S Winter Shoes Carnival Fashion 5 Knee The Boots Flocking 5 Boots Boots Round MEDICAID 5 UK2 The Boots Boots Boots Casual Toe CN33 Flocking Over Brown For Knee 5 Shoes Black 4 RTRY Women'S Fashion Winter Round EU34 Carnival US4 2 WISCONSIN
2 DB1413 OTHER WISCONSIN RR PTAN DB1413
Flocking 4 5 Fashion Toe Boots Carnival For US4 CN33 Over Winter RTRY Round EU34 The Shoes UK2 Casual 2 Women'S Boots Knee Brown 5 Black Boots 3 0321190001 Black US4 2 Flocking 4 The Shoes Fashion Brown Winter Boots Casual RTRY EU34 Over Round Carnival Boots Women'S Knee UK2 CN33 Toe 5 Boots 5 For MEDICARE NSC WISCONSIN
4 000047425 MEDICARE PIN WISCONSIN

What is NPI?

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NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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